I had a colon resection Monday, released Friday and home later that day (3 hours in car).
I have waited to post mainly because I wanted to be able to think more clearly and digest some info.
I asked at pre-surgery assessment if I could take a sleeping pill the night before surgery and did, however I did not sleep. So I feel like every time I talked to either my surgeon or assisting doctor from just before surgery to the time I was released I had some kind of 'brain fog". I do remember the surgeon saying he was going in to remove the stricture in my sigmoid colon and I remember saying 'just put me asleep'.
They removed about eight inches of colon and was told that there was also about six inches of small intestine that showed some slight stricturing. They did not remove this and that is what I am struggling with. I would think that if I was awake on the operating table, I would have asked to have it removed? I know I went into surgery thinking that once the stricture was removed, there would be no disease activity at least for awhile.
Past colonoscopies have said in regards to terminal ileum 'subtle narrowing and ulcerations, no obvious stricture', 'possibly some very mild Crohn's disease in the terminal ileum, although the biospy did not really show significant inflammation', (2009-01-06) 'the rest of the colon and T.I. was normal', and lastly from a letter written by a fellow MD for my surgeon (2009-28-2009) 'the pateint indicated that she was told the last colonoscopy was able to go through the stricture and the terminal ileum was looking healthy without any evidence of disease'.
After surgery he said something about him thinking I would or could maintain this with medication especially since even the other stricture was not giving me any usual symptoms of CD. I do not like meds, especially the stronger ones and thought I could use a lesser drug for maintenance.
Like to think things happen for a reason and the only good thing I can think of right now for leaving the small bowel alone is is that I may have been put into a false sense of security with this disease and maybe something Metho or something similar will be the most beneficial down the road. All for now.
55 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Sigmoidectomy scheduled for May 11/2009